Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Broadway Psychotherapy, Inc

Organization Clinical Psychologist · NPI 1811162316

Broadway Psychotherapy, Inc is a Clinical Psychologist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2008.

Licensed in
RI
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

347 Broadway
Providence, RI 02909-1101
Phone: (401) 270-9808
Fax: (401) 354-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS00585 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW00174 (RI)

Record details

NPI number1811162316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Migneault — President · (401) 270-9808
Other names Health Behavior Consultants, Inc.
NPI enumeratedApril 25, 2008
Last updated in NPPESMay 3, 2017
Mailing address347 Broadway, Providence, RI 02909-1101

Other providers in Providence